Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jack Shamoun, MD

Individual provider Internal Medicine Physician · NPI 1730497470

Dr. Jack Shamoun, MD is an Internal Medicine in Kokomo, Indiana. Qualified in 2006, 20 years ago. Practices with St Vincent Physician Services Hospital and Health Care Center, a 282-clinician group and accepts Medicare assignment. Licensed in Illinois and Indiana.

Years since qualifying
20
Licensed in
IL, IN
In the registry since
2010
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1907 W Sycamore St
Kokomo, IN 46901-5148
Phone: (765) 456-5433
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 01070898A (IN)
Internal Medicine Physician Taxonomy 207R00000X · Licence 125055944 (IL)

Record details

NPI number1730497470
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 15, 2010
Last updated in NPPESMarch 27, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice St Vincent Physician Services Hospital And Health Care Center — 282 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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